Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CATAWBA VALLEY MEDICAL CENTER

NC · Facility ID 340143 · FY2026

Total HAC Score

-0.4279

Percentile

24.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4279

Hospital score -0.4279. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.392
  • CLABSIz -0.193
  • CAUTIz 0.173
  • SSIz -0.967
  • CDIz -0.850
  • MRSAz -0.339

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.3916-0.60990.05590.6657
CAUTI0.1735-0.6766-0.05910.6175
MRSA-0.3392-0.6143-0.00050.6137
CDI-0.8504-0.52990.07930.6092
CLABSI-0.1932-0.6301-0.02230.6078
SSI-0.9666-0.50960.09510.6047

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within NC (79 scored): 14.6th

Score distributionThreshold 0.3792Hospital -0.4279

Hospital score -0.4279. Penalty threshold 0.3792. Distribution of 79 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 19.4th

Score distributionThreshold 0.3792Hospital -0.4279

Hospital score -0.4279. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4279; threshold 0.3792).

Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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